Invisalign Submission Option: Invisalign First

Year: 2023

Difficulty Level: Intermediate

Age: 8

Treatment Time: 1 year 6 months 23 days

Gender: Female

Dr. Hanyoung Hong
10439

Invisalign First

Patient Chief Concern
Upper incisor crowding, lower incisor spacing

What learning would you share with other Invisalign providers?
Distalizing molars after expansion gave better fitting and good distalizing results. Due to excess overjet I could not place precision bite ramps for intrusion. So instead, I planned frog staging on incisors. (I normally don't do it)

What contributed most to this treatment being successful?
Patient compliance was wonderful. doctor's personal staging in ClinCheck treatment plan.

Clinical Indications

  • Crowding
  • Deep bite
  • Increased overjet
  • Spacing
Overjet 4.5mm, overbite 3.0mm, full cusp class II molar relationship

Modalities

  • Distalization
  • Elastics: Class II
  • Intrusion
  • Leveling Curve of Spee
  • Retraction
Precision bite ramps could not be placed due to excess overjet

Treatment Information

Retainer: Vivera
Plannning on vivera for night time wear
Smartforce: Conventional and Optimized
Submission Process:
I planned simultaneous arch expansion first and then molar distalization. Frog staging in central incisors and lateral incisors worked well with stable results in retraction and intrusion. 1/4 " 4.5 oz Class II elastics worn night time to help distalization and retraction.
Length of Treatment: 19 months
Additional Aligners: 1
Number of Aligners:
Initial Additional Total
Maxillary 50 11 61
Mandibulary 50 11 61
Aligner Wear Time: 1week

Images

Initial
Final
Progress

Radiographs

Summary

Improvement of overbite & overjet, upper molar distalization Midlines coincident, Curve of Spee leveled, Arches aligned and coordinated, Arch form improved, Aesthetic smile line was achieved.
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Per conubia nostra, per inceptos hime
Mauris in erat justom etone. Per conub
per inceptos hime naeos.

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